Active NPI
Michael J. Sacca, M.D., P.C.
- Surgery Physician
- West Islip, NY
National Provider Identifier
1104098698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 203794
- Legal business name
- MICHAEL J. SACCA, M.D., P.C.
- Practice address
- 580 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 321-6801
- Fax
- (631) 321-3869
- NPI assigned
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise M. Bello
- Title
- Office Manager
- Phone
- (631) 321-6801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 203794 | NY | Primary |
| Vascular Surgery Physician | 2086S0129X | 203794 | NY |
Addresses
Primary practice location
580 Union Blvd
West Islip, NY 11795-3105
Mailing address
580 Union Blvd
West Islip, NY 11795-3105
Phone (631) 321-6801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1104098698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-321-6801",
"fax_number": "631-321-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-321-6801",
"fax_number": "631-321-3869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. SACCA, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "BELLO",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-321-6801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NY",
"license": "203794",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "203794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.